RT Journal Article SR Electronic T1 Multimodal Thrombectomy Device for Treatment of Acute Deep Venous Thrombosis JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.02.21.481340 DO 10.1101/2022.02.21.481340 A1 Usama Ismail A1 Roger A. Rowe A1 John Cashin A1 Guy M. Genin A1 Mohamed Zayed YR 2022 UL http://biorxiv.org/content/early/2022/02/22/2022.02.21.481340.abstract AB Deep vein thrombosis (DVT) is a potentially deadly medical condition that is costly to treat and impacts thousands of Americans every year. DVT is characterized by the formation of blood clots within the deep venous system of the body. If a DVT dislodges it can lead to venous thromboembolism (VTE) and pulmonary embolism (PE), both of which can lead to significant morbidity or death. Current treatment options for DVT are limited in both effectiveness and safety, in part because the treatment of the DVT cannot be confined to a defined sequestered treatment zone. We therefore developed and tested a thrombectomy device that enables the sequesteration of a DVT to a defined treatment zone during fragmentation and evacuation. We observed that, compared to a predicate thrombectomy device, the sequestered approach reduced distal DVT embolization during ex vivo thrombectomy. The sequestered approach also facilitated isovolumetric infusion and suction that enabled clearance of the sequestered treatment zone without significantly impacting vein wall diameter. Results suggest that our novel device using sequestered therapy holds promise for the treatment of high risk large-volume DVTs.Competing Interest StatementG.M.G. and M.A.Z. have equity in Caeli Vascular, Inc., which specializes in developing treatments for venous disease. U.I. and R.A.R are employed by Caeli Vascular, Inc..